Adsorption behavior of human plasma fibronectin on hydrophobic and hydrophilic Ti6Al4V substrata and its influence on bacterial adhesion and detachment
Abstract:Biomaterial implant-associated infections, a common cause of medical devices' failure, are initiated by bacterial adhesion to an adsorbed protein layer on the implant material surface. In this study, the influence of protein surface orientation on bacterial adhesion has been examined using three clinically relevant bacterial strains known to express specific binding sites for human plasma fibronectin (HFN). HFN was allowed to adsorb on hydrophobic Ti6Al4V and physically modified hydrophilic Ti6Al4V substrata. … Show more
“…Proteins such as albumin, fibronectin, fibrinogen, laminin, denatured collagens, and some plasma/tissue lipids are the first host substances that interact with the surface structure of the biomaterial [21,27,148]. Reduction of conditional lipid-protein layer formation can be achieved by changing surface physico-chemical characteristics, and/or surface micro-morphology [149].…”
Section: Basic Concepts Of Antibacterial Coatingmentioning
It is expected that the projected increased usage of implantable devices in medicine will result in a natural rise in the number of infections related to these cases. Some patients are unable to autonomously prevent formation of biofilm on implant surfaces. Suppression of the local peri-implant immune response is an important contributory factor. Substantial avascular scar tissue encountered during revision joint replacement surgery places these cases at an especially high risk of periprosthetic joint infection. A critical pathogenic event in the process of biofilm formation is bacterial adhesion. Prevention of biomaterial-associated infections should be concurrently focused on at least two targets: inhibition of biofilm formation and minimizing local immune response suppression. Current knowledge of antimicrobial surface treatments suitable for prevention of prosthetic joint infection is reviewed. Several surface treatment modalities have been proposed. Minimizing bacterial adhesion, biofilm formation inhibition, and bactericidal approaches are discussed. The ultimate anti-infective surface should be “smart” and responsive to even the lowest bacterial load. While research in this field is promising, there appears to be a great discrepancy between proposed and clinically implemented strategies, and there is urgent need for translational science focusing on this topic.
“…Proteins such as albumin, fibronectin, fibrinogen, laminin, denatured collagens, and some plasma/tissue lipids are the first host substances that interact with the surface structure of the biomaterial [21,27,148]. Reduction of conditional lipid-protein layer formation can be achieved by changing surface physico-chemical characteristics, and/or surface micro-morphology [149].…”
Section: Basic Concepts Of Antibacterial Coatingmentioning
It is expected that the projected increased usage of implantable devices in medicine will result in a natural rise in the number of infections related to these cases. Some patients are unable to autonomously prevent formation of biofilm on implant surfaces. Suppression of the local peri-implant immune response is an important contributory factor. Substantial avascular scar tissue encountered during revision joint replacement surgery places these cases at an especially high risk of periprosthetic joint infection. A critical pathogenic event in the process of biofilm formation is bacterial adhesion. Prevention of biomaterial-associated infections should be concurrently focused on at least two targets: inhibition of biofilm formation and minimizing local immune response suppression. Current knowledge of antimicrobial surface treatments suitable for prevention of prosthetic joint infection is reviewed. Several surface treatment modalities have been proposed. Minimizing bacterial adhesion, biofilm formation inhibition, and bactericidal approaches are discussed. The ultimate anti-infective surface should be “smart” and responsive to even the lowest bacterial load. While research in this field is promising, there appears to be a great discrepancy between proposed and clinically implemented strategies, and there is urgent need for translational science focusing on this topic.
“…126 Vadillo-Rodriguez et al found that Fn molecules adopt a more extended conformation on hydrophobic than hydrophilic Ti6A14V surfaces and the extended conformation of the proteins facilitates the exposure of specific sites for adhesion, resulting in higher bacterial attachment. 127 We used immuno-AFM (atomic force microscopy) to assess the Fn adsorption/orientation on polyurethane surfaces at the molecular scale. The orientation of Fn adsorbed on polyurethane surface was detected by the monoclonal antibodies (MAb) coupled AFM probes.…”
Section: Effect Of Plasma Proteins On Bacterial Adhesion On Biomaterimentioning
“…Proteins at the cell-substrate interface play a vital role in mediating the adhesion behavior of cells on synthetic substrates which lack cell binding ligands on the surface [31][32][33][34]. FN is a glycoprotein of the extracellular matrix that binds to integrins.…”
Section: Fn Adsorption Studied By Sem and Ftirmentioning
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